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HomeMy WebLinkAbout20251652.tiff Resolution Approve Task Order Contract for Title X Family Planning Program and Authorize Chair to Sign Whereas,the Board of County Commissioners of Weld County,Colorado,pursuant to Colorado statute and the Weld County Home Rule Charter,is vested with the authority of administering the affairs of Weld County,Colorado,and Whereas,the Board has been presented with a Task Order Contract for the Title X Family Planning Program between the County of Weld,State of Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the Department of Public Health and Environment, and the Colorado Department of Public Health and Environment,commencing upon full execution of signatures,and ending June 30,2026, with further terms and conditions being as stated in said task order contract,and Whereas,after review,the Board deems it advisable to approve said task order contract, a copy of rvfiich is attached hereto and incorporated herein by reference. Now,therefore,be it resolved by the Board of County Commissioners of Weld County, Colorado,that the Task Order Contract for the Title X Family Planning Program between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Health and Environment,and the Colorado Department of Public Health and Environment,be,and hereby is,approved. Be it further resolved by the Board that the Chair be,and hereby is,authorized to sign said task order contract. The Board of County Commissioners of Weld County,Colorado,approved the above and foregoing Resolution,on motion duly made and seconded,by the following vote on the 16th day of June,A.D.,2025: Perry L.Buck,Chair:Aye �,` Scott K.James,Pro-Tem:Aye �. .:_ • Jason S.Maxey:Aye Lynette Peppler:Aye + V ma1 Kevin D.Ross:Aye ''61 '„ Approved as to Form: %• t,I' Bruce Barker,County Attorney Attest: Esther E.Gesick,Clerk to the Board cc:1-1L BSc/ac/s,') 2025-1652 07/1o/2_5 HL0058 COnk“A c + bWC155 � BOARD OF COUNTY COMMISSIONERS PASS - AROUND REVIEW PASS -AROUND TITLE : FAMILY PLANNING PROGRAM CONTRACT RENEWAL DEPARTMENT : PUBLIC HEALTH AND ENVIRONMENT DATE : DUNE 1 , 2025 PERSON REQUESTING : JASON CHESSHER , EXECUTIVE DIRECTOR SHAUN MAY , PHS DIVISION DIRECTOR Brief description of the problem / issue : For the Board ' s approval is the FY 2025 - 2026 Title X Family Planning contract between the Colorado Department of Public Health & Environment ( CDPHE ) and the Board of County Commissioners of Weld County on behalf of the Weld County Department of Public Health and Environment ( WCDPHE ) . The WCDPHE is the only approved Title X site providing comprehensive family - planning services in Weld County ; it supports the provision of contraception , cancer screening , STI testing , and related preventive care to residents who are uninsured or under - insured . Executing the contract for the period July 1 , 2025 — June 30 , 2026 , will allow WCDPHE to continue offering these critical services without interruption . What options exist for the Board ? • Approve the contract as presented . • Decline to approve the contract . Consequences : Approval will ensure continued federal and state funding for essential Family Planning services at current service levels . Declining the contract would eliminate external funding , causing the WCDPHE to discontinue or reduce services for the only Title X provider in Weld County . Impacts : The contract ' s funding enables Weld County to provide affordable contraception and other preventive services to more than 3 , 000 clients each year , lowering the incidence of unintended pregnancies and strengthening maternal - and - infant health . Costs ( Current Fiscal Year / Ongoing or Subsequent Fiscal Years ) : This contract provides $ 232 , 857 in Title X grant funding for FY 2025 - 2026 . No local match is required . Recommendation : I recommend approval to place this contract on a future BOCC agenda for formal consideration . S upport Recommendation Schedule P lace on BOCC Agenda Work Session Other / Comments : Perry L . Buck Scott K . James v � a , cractay Jason S . Maxey Lynette Peppier Via entlath Kevin D . Ross Vka 2025 - 1652 W L-W5-7S Karla Ford From : Scott James Sent : Friday , May 30 , 2025 10 : 40 AM To : Jason Chessher Cc : Karla Ford Subject : RE : Pass Arounds Fine with all — and Karla , I approve all . Ar COUNTY, CO Scott K . James Weld County Commissioner Office : 970 - 400 - 4200 / Cell : 970 - 381 - 7496 P . O . Box 758 , 1150 O St . , Greeley , CO 80632 0111R00 Join Our Team IMPORTANT : This electronic transmission and any attached documents or other writings are intended only LAbrthe person or entity to which it is addressed and may contain in .thrmation that is privileged , confidential or otherwise protected [Aom disclosure . Irmyou have received this communication in error , please immediately noti _V sender by return e - mail and destroy the communication . Any disclosure , copying , distribution or the taking o (7; any action concerning the contents oCthis communication or any attachments by anyone other than the named recipient is strictly prohibited . From : Jason Chessher < jchessher@weld . gov > Sent : Friday , May 30 , 2025 10 : 38 AM To : Scott James < sjames@weld . gov > Subject : Pass Arounds Good morning Commissioner , Since we ' re not meeting next Tuesday , I have five PA ' s to run by you belbre sending to the Board . First is the Nurse Family Partnership grant renewal . This is the largest and most stable grant that we have . It ' s just over $ 1 . 3 million and includes a 2 % increase Raw2026 . Second is a contract LIr imaging services [tor our Women ' s Wellness Connection program . VI, during a WWC visit , our providers find reason to send a client Am imaging , this contract provides another location in WC rim those services . VVVVC at the state level is billed rtr imaging services so that payment doesn ' t pass through us . Third is our annual Flied Delivered Therapy ( FDT ) and Sexually Transmitted Inflction ( STI ) renewal . This is an existing program that combats syphilis and other sexually transmitted inrlections and has banding specifically 3:ir services in the WC jail . 1 Karla Ford From : Lynette Peppier Sent : Tuesday , June 3 , 2025 4 : 30 PM To : Scott lames ; Karla Ford Cc : Kevin Ross Subject : Re : Please Reply - Family Planning Contract After speaking with our health department , ' agree also Lynette Peppier Weld County Commissioner , District 3 1150 0 Street , P . O . Box 758 , Greeley , Colorado 80632 970 . 400 - 4205 ( Office ) 970 - 305 - 7243 ( Cell ) Confidentiality Notice : This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged, confidential or otherwise protected from disclosure . !f you have received this communication in error, please immediately notify sender by return e - mail and destroy the communication . Any disclosure , copying, distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited . fr I r 4 r . 1 • Lse 54 . 1 ‘ : ip e. /er aese,s • : toil • From : Scott James < sjames@weld . gov > Sent : Tuesday , June 3 , 2025 4 : 08 : 41 PM To : Karla Ford < kford@weld . gov > Cc : Lynette Peppier < Ipeppler@weld . gov > ; Kevin Ross < kross@weld . gov > Subject : Re . Please Reply - Family Planning Contract Approve * * Sent from my iPhone * * Scott K . James Weld County Commissioner , District 1150 O Street , P . O . Box 758 , Greeley , Colorado 80632 970 . 336 . 7204 ( Office ) 970 . 381 . 7496 ( Cell ) 1 Karla Ford From : Kevin Ross Sent : Monday , June 2 , 2025 12 : 10 PM To : Karla Ford ; Lynette Peppler Subject : Re : Please Reply - Family Planning Contract I approve Kevin Ross • From : Karla Ford < kford@weld . gov > Sent : Monday , June 2 , 2025 10 : 29 : 09 AM To : Kevin Ross < kross@weld . gov > ; Lynette Peppier < Ipeppler@weld . gov > Subject : Please Reply - Family Planning Contract Please advise if you support recommendation and to have department place on the agenda . ZINho rag COUNTY , CO Karla Ford Office Manager & Executive Assistant Board of weld County Commissioners Desk : 970 - 400 - 4200 / 970 - 400 - 4228 P . O . Box 758 , 1150 O St . , Greeley , CO 80632 0 Join Our Team IMPORTANT : This electronic transmission and any attached documents or other writings are intended only for the person or entity to which it is addressed and may contain information that is privileged , confidential or otherwise protected from disclosure . If you have received this communication in error , please immediately notify sender by return e - mail and destroy the communication . Any disclosure , copying , distribution or the taking of any action concerning the contents of this communication or any attachments by anyone other than the named recipient is strictly prohibited . From : Jason Chessher < jchessher@weld . gov > Sent : Monday , June 2 , 2025 10 : 20 AM To : Karla Ford < kford@weld . gov > Cc : Shaun May < smay@weld . gov > ; Bill Fritz < bfritz@weld . gov > ; Cheryl Pattelli < cpattelli@weld . gov > ; Jill Scott < jscott@weld . gov > Subject : Family Planning Contract 1 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 STATE OF COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT TASK ORDER State Agency: Contractor: State of Colorado for the use&benefit of the Board of County Commissioners of Weld County Department of Public Health and Environment (a political subdivision of the state of Colorado) 4300 Cherry Creek Drive South 1150"0"Street Denver CO 80246 Greeley CO 80631 for the use and benefit of the Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley CO 80631 Contractor UEI:MKKXT9U9MTV5 Main Task Order Contract Number: Task Order Performance Beginning Date: 23 FAA 00051 The later of the Task Order Effective Date or July 01,2025 Task Order Number: 2026.0312 Task Order Maximum Amount: Task Order Expiration Date: Initial Term June 30,2026 State Fiscal Year 2026 $232,857.00 Except as stated in§2.D.,the total duration of this Contract, including the exercise of any options to extend,shall not Total for All State Fiscal Years $232,857.00 exceed 5 years from its Performance Beginning Date. Pricing/Funding: Miscellaneous: Price Structure:Cost Reimbursement Authority to enter into this Contract exists in: Contractor Shall Invoice:Monthly C.R.S.25-1.5-101—C.R.S.25-1.5-113 Funding Source: State $191,400.00 Procurement Method:Request for Applications(RFA) Federal $41,457.00 Solicitation Number(if any):33803782 State Representative: Contractor Representative: Terri Alexander Jason Chessher Family Planning Program Manager Executive Director Public Health&Environment Prevention Services Division Board of County Commissioners of Weld County Health Services and Connections,Family Planning Program (a political subdivision of the state of Colorado) Colorado Department of Public Health and Environment 1150"0"Street 4300 Cherry Creek Drive South Greeley CO 80631 Denver,CO 80246 for the use and benefit of the terri.alexander@state.co.us Weld County Department of Public Health and Environment 1555 North 17th Avenue Greeley CO 80631 jchessher@weld.gov Exhibits and Order of Precedence: The following Exhibits and attachments are included with this Contract: 1. Exhibit A—Additional Provisions Task Order Number:2026.0312 Page 1 of 3 Version OSC A7.15.24/CDPHE A1.23.25 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 2. Exhibit B—Statement of Work 3. Exhibit C—Grant Contractor Federal Provisions Contract Purpose: This health project serves to provide access to sexual and reproductive health(SRH)services to all Coloradans. In accordance with§4.B of the Main Task Order Contract referenced above,Contractor shall complete the following Project: 1.PROJECT DESCRIPTION Contractor shall complete the Project described in Exhibit B—Statement of Work(SOW)that is attached hereto and incorporated herein(the"SOW").All terminology used in this Task Order and the Statement of Work shall be interpreted in accordance with the Main Task Order Contract unless specifically defined differently in this Task Order.The Statement of Work is incorporated herein,made a part hereof and attached hereto as Exhibit B—Statement of Work. This Task Order Project will be funded per the Colorado Department of Public Health and Environment Family Planning Program(FPP),which is based on a Funding Formula.Due to this funding structure,a budget will not be attached nor incorporated into this Task Order. 2.PAYMENT The State shall pay Contractor the amounts shown on the Cover Page of this Task Order,in accordance with the requirements of the Statement of Work and the Main Task Order Contract.The State shall not make any payment for a State Fiscal Year that exceeds the Task Order Maximum Amount shown above for that State Fiscal Year. 3.PERFORMANCE PERIOD Contractor shall complete all Work on the Project described in this Task Order by the Task Order Expiration Date stated above.Contractor shall not perform any Work on the Project described in the Statement of Work prior to the Task Order Performance Beginning Date or after the Task Order Expiration Date stated above. 4.TASK ORDER EFFECTIVE DATE: The Effective Date of this Task Order is upon approval of the State Controller or July 01,2025,whichever is later. Task Order Number:2026.0312 Page 2 of 3 Version OSC A7.15.24/CDPHE A1.23.25 UVI:UJII�II CIIVCIUiJC IU.UOCO/OUY-YOUL-YYIilr-.7I�L-/OI,YJ/rV0.7/! THE PARTIES HERETO HAVE EXECUTED THIS CONTRACT Each person signing this Contract represents and warrants that he or she is duly authorized to execute this Contract and to bind the Party authorizing his or her signature. CONTRACTOR STATE OF COLORADO Board of County Commissioners of Weld County Jared S.Polis,Governor (a political subdivision of the state of Colorado) Colorado Department of Public Health and Environment for the use and benefit of the Jill Hunsaker Ryan,MPH,Executive Director Weld County Department of Public Health and Environment r-Signed by: r--DocuSigned by: , A' 4 D�61 F4l/ )tw it `- St SLJI�t-►1 s/t/, By:Signature By:Signature FULL NAME Chelsea Gilbertson Name of Person Signing for Contractor Name of Executive Director Delegate TITLE Procurement&Contracts Section Title of Person Signing for Contractor Title of Executive Director Delegate 2025-06-16 2025-06-18 Date: Date: In accordance with§24-30-202,C.R.S.,this Option is not valid until signed and dated below by the State Controller or an authorized delegate. STATE CONTROLLER Robert Jaros,CPA,MBA,JD -DocuSigned by: Uat.t yit utma.as 1G 031.1001A11177 By:Signature Valerie Clover Clark Name of State Controller Delegate Grants Controller Title of State Controller Delegate 2025-06-26 Effective Date: --Signature Page End-- Task Order Number:2026.0312 Page 3 of 3 Version OSC A7.15.24/CDPHE A1.23.25 2075—l(05 _ L/VULIblyIl CI IVell4/C ILJ.VOCO/ /0I,YJ!r./OUI/ EXHIBIT A ADDITIONAL PROVISIONS To Grant Agreement Number 2026*0312 These provisions are to be read and interpreted in conjunction with the provisions of the Contract specified above. 1) Invoicing Provisions: To receive compensation under the Contract,the Contractor shall submit a signed Monthly CDPHE Reimbursement Invoice Form.This Reimbursement Invoice Form is customized for each Contractor and will be emailed to each Contractor after the contract is executed and is incorporated and made part of this Contract by reference.CDPHE will provide technical assistance in accessing and completing the form.The CDPHE Reimbursement Invoice Form and Expenditure Details page must be submitted no later than forty-five(45)calendar days after the end of the billing period for which services were rendered.Expenditures shall be in accordance with the Statement of Work and Budget. The Contractor shall submit the invoice using the method listed below: Scan the completed and signed CDPHE Reimbursement Invoice Form into an electronic document.Email the scanned invoice and Expenditure Details page to: cdphe_familyplanning@state.co.us. Final billings under the Contract must be received by the State within a reasonable time after the expiration or termination of the Contract;but in any event no later than forty-five(45)calendar days from the effective expiration or termination date of the Contract. Sliding Fee Scale:The Contractor's charges for services to clients who are above 100%of poverty level shall be based on a sliding fee scale that takes into account a client's family size and/or individual income and is approved by the State.These charges and the sliding fee scale shall be made available to all clients of the Contractor,the general public,and the State.This document is available on the following website https://www.colorado.gov/cdphe/titlex- familyplanning.Charges shall be based upon the Contractor's actual costs to provide these services as determined by a cost analysis.The Contractor and the State shall review these costs annually.The Contractor shall ensure that all clients understand that they will not be denied services because of an inability to pay any of the Contractor's sliding fee charges. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term.The Contractor shall monitor documents and website content for updates and comply with all updates. Fiscal and Spending Contract Award:The Contractor must spend the entire awarded and budgeted amount for services identified in the annual approved project budget.Failure to provide projected services,submit invoices in a timely manner,and/or failure to spend the award at a rate that results in the full award being expended at the end of the program year may result in reduced funds the following year and/or lack of eligibility for mid-year and other additional funding opportunities. Unless otherwise provided for in the Contract,"Local Match",if any,shall be included on all invoices as required by funding source. The Contractor shall not use federal funds to satisfy federal cost sharing and matching requirements unless approved in writing by the appropriate federal agency. 2) Acceptance of Deliverables—Time Limit: Page 1 of 4 Agreement Number:2026*0312 Version A 04.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT A a. Evaluation Period.The State shall have thirty(30)calendar days from the date a deliverable is delivered to the State by the Contractor to evaluate that deliverable,except for those deliverables that have a different time negotiated by the State and the Contractor. b. Notice of Defect.If the State believes in good faith that a deliverable fails to meet the design specifications for that particular deliverable,or is otherwise deficient,then the State shall notify the Contractor of the failure or deficiencies,in writing,within thirty(30)calendar days of:1)the date the deliverable is delivered to the State by the Contractor if the State is aware of the failure or deficiency at the time of delivery;or 2)the date the State becomes aware of the failure or deficiency.The above time frame shall apply to all deliverables except for those deliverables that have a different time negotiated by the State and the Contractor in writing pursuant to the State's fiscal rules. c. Time to Correct Defect.Upon receipt of timely written notice of an objection to a completed deliverable,the Contractor shall have a reasonable period of time,not to exceed thirty(30) calendar days,to correct the noted deficiencies. 3) Health Insurance Portability and Accountability Act(HIPAA)Business Associate Determination: The State has determined that this Contract does not constitute a Business Associate relationship under HIPAA. 4) If Contractor indicates full expenditure of funds under this Contract by March 31st of each grant year and the full expenditure does not occur,CDPHE has the option to reduce current or upcoming Contract by said amount or a percent deemed reasonable by CDPHE.The State will notify the Contractor of the potential need to decrease the current or upcoming budget.If the Contractor indicates at a later date than March 31st of each grant year an expectation of surplus of funds or inability to fully expend said funds for unforeseen circumstances that Contractor had not anticipated by March 31st CDPHE will reallocate unspent funds without any penalties to the Contractor. Upon receipt of timely written notice of an objection by the State for inability to fully expend funds,the Contractor shall have a reasonable period of time not to exceed ten(10)calendar days to respond to the action.If no dispute is received by the State within ten(10)calendar days,the State has the option to reduce the current budget for the current year and any upcoming budget for future contractual agreements. 5) Contractor shall request prior approval in writing from the State for all modifications to the Statement of Work/Work Plan,or for any modification to the direct costs in excess of twenty-five percent(25%)of the total budget for direct costs,or for any modifications to the indirect cost rate.Any request for modifications to the Budget in excess of twenty-five percent(25%)of the total budget for direct costs,or any modifications to indirect cost rates,shall be submitted to the State at least ninety(90)days prior to the end of the contract period and may require an amendment in accordance with General Provisions,Section 18,Modifications,Paragraph I,or Option Letter Provisions of this Contract. 6) Contractor agrees to provide services to all Program participants and employees in a smoke-free environment in accordance with Public Law 103-227,also known as"the Pro-Children Act of 1994",(Act).Public Law 103-227 requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health,day care,early childhood development services,education or library services to children under the age of eighteen(18),if the services are funded by Federal programs Page 2 of 4 Agreement Number:2026.0312 Version A 04.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT A either directly or through State or local governments,by Federal grant,contract,loan,or loan guarantee. 7) The State of Colorado,specifically the Colorado Department of Public Health and Environment, shall be the owner of all equipment as defined by Federal Accounting Standards Advisory Board (FASAB)Generally Accepted Accounting Principles(GAAP)purchased under this Contract.At the end of the term of this Contract,the State shall approve the disposition of all equipment. 8) Contractor shall not use State funds provided under this Contract for the purpose of lobbying as defined in Colorado Revised Statutes(C.R.S.)24-6-301(3.5)(a). 9) The State,at its discretion,shall have the option to direct the Contractor to begin performance of any of the contract phases described in Exhibit B.,Statement of Work.If the State exercises this option,it will provide written notice to Contractor as least in a form substantially equivalent to Exhibit C.Contractor shall begin work on each phases as of the effective date of the notice requiring Contractor to complete that phase,or a later date if one is contained in the notice,and shall complete all Work described for that phase of the Contract. 10)This award does not include funds for Research and Development. 11)Notwithstanding the terms contained in Section 15,Rights in Work Product and Other Information,unless otherwise provided for,all data collected or produced or derived exclusively from the Contractor's work under this Contract shall remain the sole property of the State, whether in individual,aggregate,identified or de-identified form or any other form required by the State.To facilitate follow-up,research,surveillance and evaluation,any such data collected, used or acquired shall be made available in any form required by the State,to the State and any other entity designated by the State. Any such data collected,used or acquired shall be used solely for the purposes of this Contract. The Contractor agrees not to release,divulge,publish,transfer,sell,or otherwise make known any such data to unauthorized persons without the express prior written consent of the State or as otherwise required by law.This includes a prior written request by the Contractor to the State for submission of abstracts or reports to conferences,which utilize data collected under this Contract. Notwithstanding the foregoing,the Contractor shall be entitled to retain a set of any such data collected or work papers necessary to perform its duties under this Contract and in accordance with professional standards. 12)Notwithstanding the terms contained in Section 15,Rights in Work Product and Other Information,the State of Colorado,specifically the Department of Public Health and Environment,shall be the owner of all printed materials,graphic representations,educational materials,audio-visual products,or any other media,in whatever form,created under this Contract.This requirement applies,but is not limited to,any brochure,flyer,presentation, billboard,radio spot,website,banner advertisement.The State reserves the right to require logos, or other wording on any material,representation,product or other media form created under this Contract.Any material,representation,product or other media form that will use the State's or logo or information must be approved by the State prior to production and distribution.A minimum of ten(10)business days is required for the review and approval process. 13)Notwithstanding the terms contained in the Section 15,Rights in Work Product and Other Information,Contractor shall protect the confidentiality of all applicant or recipient records and other materials that are maintained in accordance with this Contract.Except for purposes directly connected with the administration of this Contract,no information about or obtained from any Page 3 of 4 Agreement Number:2026.0312 Version A 04.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT A applicant or recipient shall be disclosed in a form identifiable with the applicant or recipient without the prior written consent of the applicant or recipient,or the parent or legal guardian of a minor applicant or recipient with the exception of information protected by Colorado Statute as it applies to confidentiality for adolescent services in which case the adolescent minor and not the parent or legal guardian must provide consent or as otherwise properly ordered by a court of competent jurisdiction.Contractor shall have written policies governing access,duplication,and dissemination of all such information.Contractor shall advise its employees,agents,servants,and any subcontractors that they are subject to these confidentiality requirements. Page 4 of 4 Agreement Number:2026*0312 Version A 04.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B STATEMENT OF WORK To Original Contract Number:2026*0312 These provisions are to be read and interpreted in conjunction with the provisions of the contract specified above. This template is provided for contract Statement of Work(SOW). I. Entity Name:Board of County Commissioners of Weld County II. Project Description: This health project serves to provide access to sexual and reproductive health(SRH)services to all Coloradans.The Colorado Department of Public Health and Environment(CDPHE)Family Planning Program(FPP)receives Federal Title X grant funding as well as State funding to improve equitable access to SRH care by contracting with a network of health care providers around the state,such as the Contractor.All subrecipients of CDPHE FPP's Title X funding must comply with the associated federal regulations as well as requirements.Priority is given to patients with incomes that are at or below 250%of the Federal Poverty Level(FPL).During the project term,the Contractor will provide high-quality,confidential,patient-centered SRH services using a sliding fee scale for self-pay patients.SRH services include,but not limited to contraceptive services,preventative health counseling and education services,reproductive health related testing,and screening and referrals. The direct beneficiary of the project will be Coloradans in need of affordable SRH services,such as those provided by the Contractor.To achieve the goals of this project,the Contractor will participate in training,technical assistance,data reporting,quality assurance and quality improvement activities,and community engagement and outreach.The project will be ongoing until the end of this contract's term. III. Definitions: 1. CDPHE—Colorado Department of Public Health and Environment 2. FPL—Federal Poverty Level 3. FPP—CDPHE's Family Planning Program 4. HIPAA—Health Insurance Portability and Accountability Act 5. iCare—FPP data system used to collect encounter-level data 6. I&E—Information and Education committee that reviews and approves print and electronic informational and educational materials developed or made available under the project 7. IUD—intrauterine device 8. LEP—Limited English Proficiency 9. QFP—Quality Family Planning Recommendations 10.SRH—Sexual and Reproductive Health 11.Title X—refers to the federal Title X Family Planning Services Grant funding and requirements Page 1of9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B IV. Work Plan Goal#1: Improve the health,well-being and equity of all people in Coloradans through health promotion,prevention and access to healthcare. Objective#1: No later than the expiration date of this contact,improve access to affordable,high- quality,patient-centered sexual and reproductive health(SRH)services with priority for patients experiencing greater barriers to accessing care. Primary Activity#1: The Contractor shall provide ongoing clinical SRH services to patients. Sub-Activity#1: 1. The Contractor shall provide clinical SRH services in accordance with the most recent CDPHE FPP Clinical Manual,the Quality Family Planning Recommendations (QFP)and recognized national standards of care including: a. Contraceptive counseling,education,supplies,and services b. Pregnancy testing and nondirective options counseling with patient-led referral c. Services related to achieving pregnancy d. Basic infertility services e. Preconception health services f. Sexually transmitted infection screening,testing,treatment,referral,and education and counseling g. Related preventative reproductive health services and referrals,including cervical cancer screening and referral to mammography 2. The Contractor shall provide clinical follow-up and referrals,as appropriate 3. The Contractor shall use a qualified laboratory to provide the services outlined in the CDPHE FPP Clinical Manual which can not be performed by the Contractor. 4. The Contractor shall provide a broad range of acceptable and effective contraceptive methods and services,including the full range of FDA-approved contraceptive products and fertility awareness-based methods,on-site(or by prescription if the patient prefers).This range shall include,at a minimum,the following options: a. One(1)hormonal intrauterine device(IUD) b. One(1)non-hormonal IUD c. One(1)contraceptive implant d. Three(3)types of combined oral contraceptive pills e. One(1)progestin only contraceptive pill f. One(1)contraceptive injection g. One(1)hormonal non-pill method such as the contraceptive patch or vaginal ring h. Condoms i. Fertility-awareness based method education provided by staff specifically trained in providing this education 5. The Contractor shall provide referrals toSRH patients to other social and medical services,as needed,including: Page 2 of 9 Grant Agreement Number:2026.0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B a. Primary care providers b. Mental health providers c. Medicaid enrollment assistance d. Social and financial support programs such as Women's Infants and Children (WIC),Temporary Assistance for Needy Families(TANF),Supplemental Nutrition Assistance Program(SNAP),etc. e. Local agencies offering services related to intimate partner violence,housing, employment,or other patient needs. 6. The Contractor shall develop steps to ensure access for priority populations experiencing greater barriers to accessing care including patients who are adolescents, low-income,uninsured,underinsured,LEP,and/or in need of confidential services, such as: a. Providing adolescent-friendly services to young people,which are accessible, acceptable,equitable,appropriate,and effective. b. Never requiring the consent or notification of parents or guardians for minors who wish to seek services independently.Family participation must be encouraged but never required. c. Counseling adolescents clients to resist sexual coercion,and documenting this counseling. d. Providing meaningful access to patients with LEP by offering printed materials in multiple languages and engaging qualified services(through a language line service or bilingual staff)for medical interpretation,and supporting this work through specific written policies. e. Identifying patients with confidentiality concerns related to communications or billing and taking steps to protect patient confidentiality,as described in the CDPHE FPP Administrative Manual. 7. The Contractor shall develop documented clinical policies,procedures and protocols in accordance with the FPP Clinical Manual,the QFP and nationally recognized standards of care,including contraceptive method specific protocols,an adolescent care policy,and policies regarding pregnancy testing,nondirective options counseling and the prohibition of abortion. Primary Activity#2: The Contractor shall implement fiscal practices that meet Title X requirements for billing and collections. Sub-Activity#2: 1. The Contractor shall comply with the requirement to not deny services based on a patient's inability to pay or create barriers to accessing care through fiscal practices. a. The Contractor shall develop policies and procedures in accordance with the FPP Administrative Manual that address income verification,charges,billing, and collections of patient fees without burdening patients or creating barriers to access,including a process for waiving and/or writing off of fees. 2. The Contractor shall use a Sliding Fee Scale to charge patients for SRH services,in accordance with Title X requirements. a. The Contractor shall use a reasonable cost-setting methodology to develop a Fee Schedule for SRH services designed to recover the reasonable cost of providing services. Page 3 of 9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B i. CDPHE shall periodically offer technical assistance to support the Contractor in updating their fee schedule. b. The Contractor shall create and update a Schedule of Discounts to be applied to the Fee Schedule using the most recent Federal Poverty Guidelines,such that: i. Patients with incomes at or below 100%FPL,as defined by the Department of Health&Human Services(HHS),shall not be charged for SRH services. ii. Patients with family incomes between 101 to 250%FPL will be charged in accordance with a schedule of discounts based on ability to pay. iii. Patients with family income greater than 250%FPL will be charged the full fee. 3. The Contractor shall conduct reasonable efforts to obtain third-party payment from government or other payers who are authorized or legally obligated to pay for services without jeopardizing patient confidentiality. a. The Contractor shall bill and receive reimbursement from Colorado Medicaid, unless a written waiver of this requirement is received from CDPHE. b. The Contractor shall work toward,if not currently,generating income through billing and reimbursement from other third-party payers,such as commercial insurance plans. Primary Activity#3: The Contractor shall hire appropriate,trained personnel to meet the requirements of the CDPHE Family Planning Program(FPP)and this contract. Sub-Activity#3: 1. The Contractor shall hire and train adequate staffing to deliver the clinical services outlined in this agreement.All professional health care providers must be in compliance with State and Federal licensing requirements and regulations. 2. The Contractor shall hire and train adequate staffing to meet the personnel requirements specified in the most recent CDPHE FPP Administrative Manual. 3. The Contractor shall comply with the requirement that the staff person(s)responsible for program coordination and fiscal functions to review the CDPHE Post-Award communications within thirty(30)days of the execution of this contract if the Cost- Reimbursement Reimbursement Mechanism is selected.If the Advance Payment Reimbursement Mechanism is selected the review will occur within fourteen(14) days. a. Throughout the remainder of this agreement,any new coordinator or fiscal staff responsible for FPP activities shall be required to participate in a program and fiscal orientation with CDPHE within sixty(60)days of employment. 4. The Contractor shall schedule all new staff working with the Title X program in any capacity to complete Title X orientation within(60)days of hire(or beginning to work on FPP),including clinical,administrative,fiscal,operations,data,or other staff 5. The Contractor shall document that staff complete the FPP's Annual Training Plan,as appropriate given role and tenure,in accordance with the requirements of each year's plan. Page 4 of 9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B 6. The Contractor shall require relevant staff to review key Title X requirements(as outlined in the Staff Annual Title X Acknowledgement Form),the CDPHE Administrative Manual,and the CDPHE Clinical Manual annually. 7. The Contractor shall document records of staff training. 8. The Contractor shall attend three virtual CDPHE FPP meetings to review and discuss issues related to FPP program compliance such as data management,community engagement,policies and procedures,adolescent services,etc.At a minimum the Contractor will attend 2 of the 3 virtual meetings. 9. The Contractor shall attend Post Award Meeting(s)(to include program and fiscal orientation)as announced and scheduled by CDPHE FPP.". Primary Activity#4: The Contractor shall conduct community engagement and outreach. Sub-Activity#4: 1. The Contractor shall conduct at least one(1)outreach activity annually to promote the availability of services. 2. The Contractor shall facilitate community engagement in reviewing and approving informational and educational materials,prior to their distribution,to assure that the materials are suitable for the population or community by hosting an Information& Education(I&E)Committee at least one(1)time per year,in accordance with the guidance provided in the CDPHE FPP Administrative Manual. 3. The Contractor shall use one option for how they will meet this requirement after the Post Awards Meeting(PAM)or Post Awards communication.The contractor shall seek approval in writing from CDPHE to change their I&E Committee selection. a. Maintain an I&E Committee exclusive to their own organization(this provides full autonomy to the Contractor for their own informational and educational materials),or b. Join a regional I&E Committee to jointly review and approve informational and educational materials(Contractors in similar communities to share I&E Committee responsibilities and materials). Primary Activity#5: The Contractor shall perform quality assurance and quality improvement activities. Sub-Activity#5: 1. The Contractor shall conduct at least one(1)patient satisfaction survey of SRH patients annually to inform clinical services and quality improvement projects. 2. The Contractor shall attend one(1)quality assurance activity annually with CDPHE, completing one of the following each year in rotation: a. Administrative&Fiscal Site Visit b. Clinical Site Visit c. Self-Audit of Patient Charts Primary Activity#6: The Contractor shall report appropriate data regarding work performed under this agreement. Page 5 of Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B Sub-Activity#6: 1. The Contractor shall complete progress reports to submit by the last business day of July and January.Report due dates will be shared with the Contractor via newsletter and email reminders. 2. The Contractor shall upload encounter-level data on the SRH services provided to iCare on a quarterly basis,or more frequently if requested,in accordance with the reporting guidance provided by CDPHE. a. The Contractor shall request access for iCare users in writing,submitted to cdphe_familyplanning(&,state.co.us. 3. The Contractor shall provide other necessary data required for federal reporting, collected by CDPHE through a supplementary survey annually. 4. The Contractor shall update the Contractor's contact information in the Agency Management System(AMS). a. This includes staff identified for roles such Project Coordinator,Fiscal Contact,Signature Authority,etc. 5. The Contractor shall report Expenditure and Revenue data,in accordance with the template and guidance provided by CDPHE,on a monthly basis with its invoice. 6. The Contractor shall comply with other data collection and/or state-level evaluation efforts,as appropriate. Standards and Requirements: 1. The content of electronic documents located on CDPHE and non-CDPHE websites and information contained on CDPHE and non-CDPHE websites may be updated periodically during the contract term.The contractor shall monitor documents and website content for updates and comply with all updates. 2. The Contractor shall comply with the requirement to not subcontract any of the required services as outlined in the CDPHE FPP Administrative Manual without prior written approval from CDPHE. a. The Contractor shall be responsible for monitoring any subcontracted providers of Title X services for compliance with all State and Federal requirements. 3. The Contractor shall comply with guidelines and requirements described in the CDPHE FPP Administrative Manual and CDPHE FPP Clinical Manual.The services provided by the Contractor to the patients it serves shall be performed pursuant to law and in accordance with prevailing medical standards of care for the same or similar medical,nursing and professional services.The services provided shall also comply with applicable: a. CDPHE FPP Administrative Manual and Clinical Manual at https://cdphe.colorado.gov/fpp/subrecipient-resources/manuals-and-guides b. Any applicable fiscal or administrative policies,laws,and regulations of the State or Federal government,incorporated and made part of this contract by reference,available at https://cdphe.colorado.gov/fpp/subrecipient-resources. 4. The Contractor shall comply with applicable State and Federal laws and regulations related to patient confidentiality in providing SRH services: a. The Contractor shall document compliance with the Health Insurance Portability and Accountability Act(HIPAA)and other relevant state and federal statutes protecting privacy and confidentiality of patient health information and medical records. Page 6 of 9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B b. The Contractor shall document that all information as to personal facts and circumstances about patients obtained by the project staff is held confidential and not disclosed without the individual's documented consent.Contractor shall develop and adhere to appropriate safeguards for confidentiality, including prohibiting providers from releasing a patient's individual information unless the provider has written authorization for the release,the release is necessary to provide services to the patient,or the state or federal law requires the release. 5. The Contractor shall comply with all applicable Colorado State and Federal Title X regulations when using contract funds contained in this Contract to fulfill the Statement of Work.Services provided shall comply with applicable: a. Title X statute,regulations,and legislative mandates incorporated and made part of this contract by reference,available at https://opa.hhs.gov/grant- programs/title-x-service-grants/title-x-statutes-regulations-and-legislative- mandates. b. The Contractor shall comply with the Colorado State regulation(Colo.Rev. Stat.§13-22-105)that all adolescents,regardless of age must be allowed services and may consent for their own visits.Service provision cannot be conditioned on parental consent or notification. c. The Contractor shall comply with the requirement that any subcontractors are fulfilling Title X requirements by embedding the Title X regulations and requirements into the subcontractor Memorandum of Understanding(MOU), contracts,and/or interagency agreements. 6. The Federal and/or State family planning funding provided by CDPHE cannot be the sole funder of the Contractor's SRH services or program.The Contractor shall show a financial contribution of other funds from local,regional,grant,patient,Medicaid,or other third party revenue sources. 7. The Contractor shall use program income generated by billing and reimbursement for SRH services(patient fees,donations,and third-party billing)for the purposes of supporting the program and further delivery of SRH services. 8. The Contractor shall develop written policies,procedures,and protocols as required by Title X regulations and family planning program guidelines.The Contractor may adapt templates provided by the FPP for this requirement,or use their own policies and procedures. 9. The Contractor shall review,share and act,when appropriate,on the information provided in the FPP's biweekly newsletter,which is the primary mode of communicating important FPP information and updates,emailed from CDPHE to the contractors.The Contractor shall stay informed of changes in policy,updates to program reporting,and programmatic changes. 10.The Contractor shall provide fiscal oversight and shall be solely responsible for compliance with all provisions and deliverables under this Contract. 11.The Contractor shall submit communications to the FPP inbox via email (cdphefamilyplanning@state.co.us). 12.The Contractor shall comply with FPP email communications,such as requests for information,data and/or meetings,etc.,within five(5)business days. Expected Results of Activity(s): 1. Increased number of people getting their SRH needs met with high-quality clinical services,through increased access and improved equity. Page 7 of 9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B Measurement of Expected Results: 1. Qualitative and quantitative data collected from required activities and deliverables compared to historical data. Deliverables: Description Completion Date 1. The Contractor shall submit a record of required staff training completed for: i. New staff orientation ii. Annual Training Plan No later than 6/30 annually iii. Staff Acknowledgement of Title X Requirements iv. CDPHE FPP Administrative&Clinical Manuals Review 2. The Contractor shall submit documentation of the outreach No later than 6/30 activity conducted. annually 3. The Contractor shall submit documentation of the I&E No later than 6/30 Committee hosted. annually 4. The Contractor shall submit documentation of the client No later than 6/30 satisfaction survey conducted. annually 5. The Contractor shall submit documentation as requested for the No later than the applicable quality assurance activity(administrative and fiscal deadline provided by site visit,clinical site visit,or chart review). CDPHE FPP Staff. 6. The Contractor shall submit bi-annual progress reports. No later than 1/31 and 7/15 annually. No later than the 15th of 7. The Contractor shall submit encounter-level data on services the month for each provided to all SRH patients through iCare quarter October 15, (https://www.healthinformatics.dphe.state.co.us),in accordance January 15,April 15, with the specifications provided by the FPP. and July 15,or by deadline provided by CDPHE FPP Staff 8. The Contractor shall update organization contact information in No later than 30 days the Agency Management System(AMS). of contact information change 9. The Contractor shall submit Expenditure and Revenue Report No later than forty-five data through the monthly invoice process. (45)days after the last day of each month Page 8 of 9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT B 10.The Contractor shall submit any subcontract or any No later than 30 days memorandum of understanding pertaining to this contract to prior to the intended CDPHE for prior approval. start date of the subcontract or MOU V. Monitoring CDPHE's monitoring of this contract for compliance with performance requirements will be conducted throughout the contract period by the CDPHE Family Planning Program Team(i.e.Program Manager,Medical Director,Program Coordinator,and Program Assistant).Methods used will include a review of documentation determined by CDPHE to be reflective of performance to include progress reports and data reports and other fiscal and programmatic documentation as applicable.The Contractor's performance will be evaluated at set intervals and communicated to the Contractor.A Final Contractor Performance Evaluation will be conducted at the end of the life of the contract. VI. Resolution of Non-Compliance The Contractor will be notified in writing within thirty(30)calendar days of discovery of a compliance issue.Within forty-five(45)calendar days of discovery,the Contractor and the State will collaborate,when appropriate,to determine the action(s)necessary to rectify the compliance issue and determine when the action(s)must be completed.The action(s) and timeline for completion will be documented in writing and agreed to by both parties. If extenuating circumstances arise that require an extension to the timeline,the Contractor must email a request to the CDPHE Family Planning Program Team(i.e Program Manager, Medical Director,Program Coordinator,and Program Assistant)and receive approval for a new due date.The State will oversee the completion/implementation of the action(s)to ensure timelines are met and the issue(s)is resolved.If the Contractor demonstrates inaction or disregard for the agreed upon compliance resolution plan,the State may exercise its rights under the provisions of this contract. Page 9 of 9 Grant Agreement Number:2026*0312 Ver.2.15.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 EXHIBIT C--GRANT FEDERAL PROVISIONS 1. Applicability of Provisions. 1.1. The Grant to which these Federal Provisions are attached has been funded,in whole or in part,with an Award of Federal funds.In the event of a conflict between the provisions of these Federal Provisions,the Special Provisions,the body of the Grant,or any attachments or exhibits incorporated into and made a part of the Grant,the provisions of these Federal Provisions shall control. 1.2 These Federal Provisions are subject to the Award as defined in§2 of these Federal Provisions,as maybe revised pursuant to ongoing guidance from the relevant Federal or State of Colorado agency or institutions of higher education. 2. Definitions 2.1. For the purposes of these Federal Provisions,the following terms shall have the meanings ascribed to them below.For a full list of definitions(as of October 1,2024)under the Uniform Guidance,see 2 CFR 200.1. 2.1.1. "Award"means an award of Federal financial assistance,and the Grant setting forth the terms and conditions of that financial assistance,that a non-Federal Entity receives or administers. 2.1.2. "Entity"means: 2.1.2.1. a Non-Federal Entity; 2.1.2.2. a non-profit organization or for profit organization; 2.1.3. "Executive"means an officer,managing partner or any other employee in a management position. 2.1.4. "Federal Awarding Agency"means a Federal agency providing a Federal Award to a Recipient as described in 2 CFR 200.1. 2.1.5. "Grant"means the Grant to which these Federal Provisions are attached. 2.1.6. "Grantee"means the party or parties identified as such in the Grant to which these Federal Provisions are attached.Grantee also means Subrecipient. 2.1.7. "Non-Federal Entity"means a State,local government,Indian tribe,institution of higher education,or nonprofit organization that carries out a Federal Award as a Recipient or a Subrecipient. 2.1.8. "Nonprofit Organization"organization,that: 2.1.8.1. Is operated primarily for scientific,educational,service,charitable, or similar purposes in the public interest; 2.1.8.2. Is operated primarily for scientific,educational,service,charitable, or similar purposes in the public interest; 2.1.8.3. Is not organized primarily for profit;and 2.1.8.4. Uses net proceeds to maintain,improve,or expand the organization's operations;and Grant Agreement Number:2026*0312 Page 1 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E87804-4852-44CC-97B2-78C437F08977 2.1.8.5. Is not an IHE. 2.1.9. "OMB"means the Executive Office of the President,Office of Management and Budget. 2.1.10. "Pass-through Entity" means a recipient or subrecipient that provides a Subaward to a Subrecipient(including lower tier subrecipients)to carry out part of a Federal program.The authority of the pass-through entity under this part flows through the Subaward agreements between the pass-through entity and subrecipient. 2.1.11. "Recipient"means the Colorado State agency or institution of higher education identified as the Grantor in the Grant to which these Federal Provisions are attached. 2.1.12. "Subaward"means an award provided by a pass-through entity to a Subrecipient to contribute to the goals and objectives of the project by carrying out part of a Federal award received by the pass-through entity.The term does not include payments to a contractor,beneficiary or participant. 2.1.13. "Subrecipient"means an entity that receives a subaward from a pass-through entity to carry out part of a Federal award. The term subrecipient does not include a beneficiary or participant. A subrecipient may also be a recipient of other Federal awards directly from a Federal agency.Subrecipient also means Grantee. 2.1.14. "System for Award Management(SAM)"means the Federal repository into which an Entity must enter the information required under the Transparency Act,which may be found at http://www.sam.gov. 2.1.15. "Total Compensation"means the cash and noncash dollar value an Executive earns during the entity's preceding fiscal year. This includes all items of compensation as prescribed in 17 CFR 229.402(c)(2). , 2.1.16. "Transparency Act" means the Federal Funding Accountability and Transparency Act of 2006(Public Law 109-282),as amended by§6202 of Public Law 110-252. 2.1.17. "Unique Entity ID"(UEI)is the universal identifier for federal financial assistance applicants,as well as recipients and their direct subrecipients(first tier subrecipients). 2.1.18. "Uniform Guidance"means the Office of Management and Budget Uniform Administrative Requirements,Cost Principles,and Audit Requirements for Federal Awards.The terms and conditions of the Uniform Guidance flow down to Awards to Subrecipients unless the Uniform Guidance or the terms and conditions of the Federal Award specifically indicate otherwise. Grant Agreement Number:2026*0312 Page 2 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 3. Compliance. 3.1. Subrecipient shall comply with all applicable provisions of the Transparency Act and the regulations issued pursuant thereto,all applicable provisions of the Uniform Guidance,and all applicable Federal Laws and regulations required by this Federal Award.Any revisions to such provisions or regulations shall automatically become a part of these Federal Provisions,without the necessity of either party executing any further instrument.The State of Colorado,at its discretion,may provide written notification to Subrecipient of such revisions,but such notice shall not be a condition precedent to the effectiveness of such revisions. 4. System for Award Management(SAM)and Unique Entity ID Requirements. 4.1. SAM.Subrecipient must obtain a UEI but are not required to fully register in Sam.gov. Subrecipient shall maintain the currency of its information in SAM until the Subrecipient submits the final financial report required under the Award or receives final payment, whichever is later. Subrecipient shall review and update SAM information at least annually after the initial registration,and more frequently if required by changes in its information. 4.2. Unique Entity ID.Subrecipient shall provide its Unique Entity ID to its Recipient,and shall update Subrecipient's information at http://www.sam.gov at least annually after the initial registration,and more frequently if required by changes in Subrecipient's information. 5. Total Compensation. 5.1. Subrecipient shall include Total Compensation in SAM for each of its five most highly compensated Executives for the preceding fiscal year if: 5.1.1. The total Federal funding authorized to date under the Award is$30,000 or more;and 5.1.2. In the preceding fiscal year,Subrecipient received: 5.1.2.1. 80%or more of its annual gross revenues from Federal procurement contracts and subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency Act;and 5.1.2.2. $25,000,000 or more in annual gross revenues from Federal procurement contracts and subcontracts and/or Federal financial assistance Awards or Subawards subject to the Transparency Act; and 5.1.2.3. The public does not have access to information about the compensation of such Executives through periodic reports filed under section 13(a)or 15(d)of the Securities Exchange Act of 1934(15 U.S.C.78m(a),78o(d)or§6104 of the Internal Revenue Code of 1986. Grant Agreement Number:2026*0312 Page 3 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 6. Reporting. 6.1. Pursuant to the Transparency Act,Subrecipient shall report data elements to SAM and to the Recipient as required in this Exhibit.No direct payment shall be made to Subrecipient for providing any reports required under these Federal Provisions and the cost of producing such reports shall be included in the Grant price.The reporting requirements in this Exhibit are based on guidance from the OMB,and as such are subject to change at any time by OMB.Any such changes shall be automatically incorporated into this Grant and shall become part of Subrecipient's obligations under this Grant. 7. Effective Date and Dollar Threshold for Reporting. 7.1. Reporting requirements in§8 below apply to new Awards as of October 1,2010,if the initial award is$30,000 or more.If the initial Award is below$30,000 but subsequent Award modifications result in a total Award of$30,000 or more,the Award is subject to the reporting requirements as of the date the Award exceeds$30,000.If the initial Award is $30,000 or more,but funding is subsequently de-obligated such that the total award amount falls below$30,000,the Award shall continue to be subject to the reporting requirements. 7.2. The procurement standards in§9 below are applicable to new Awards made by Recipient as of December 26,2015.The standards set forth in§11 below are applicable to audits of fiscal years beginning on or after December 26,2014. 8. Subrecipient Reporting Requirements. 8.1. Subrecipient shall report as set forth below. 8.1.1. To SAM.A Subrecipient shall report the following data elements in SAM for each Federal Award Identification Number(FAIN)assigned by a Federal agency to a Recipient no later than the end of the month following the month in which the Subaward was made: 8.1.1.1. Subrecipient Unique Entity ID; 8.1.1.2. Subrecipient Unique Entity ID if more than one electronic funds transfer(EFT)account; 8.1.1.3. Subrecipient parent's organization Unique Entity ID; 8.1.1.4. Subrecipient's address,including:Street Address,City,State, Country,Zip+4,and Congressional District; 8.1.1.5. Subrecipient's top 5 most highly compensated Executives if the criteria in§4 above are met;and Subrecipient's Total Compensation of top 5 most highly compensated Executives if the criteria in§4 above met. 8.1.2. To Recipient. A Subrecipient shall report to its Recipient,upon the effective date of the Grant,the following data elements: 8.1.2.1. Subrecipient's Unique Entity ID as registered in SAM. 9. Primary Place of Performance Information,including:Street Address,City,State,Country,Zip code+4,and Congressional District.Procurement Standards. Grant Agreement Number:2026*0312 Page 4 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 9.1. Procurement Procedures.A Subrecipient shall use its own documented procurement procedures which reflect applicable State,local,and Tribal laws and applicable regulations, provided that the procurements conform to applicable Federal law and the standards identified in the Uniform Guidance,including without limitation,2 CFR 200.318 through 200.327 thereof 9.2. Domestic preference for procurements(2 CFR 200.322).As appropriate and to the extent consistent with law,the non-Federal entity should,to the greatest extent practicable under a Federal award,provide a preference for the purchase,acquisition,or use of goods,products, or materials produced in the United States(including but not limited to iron,aluminum, steel,cement,and other manufactured products).The requirements of this section must be included in all subawards including all contracts and purchase orders for work or products under this award. 9.3. Procurement of Recovered Materials.If a Subrecipient is a State Agency or an agency of a political subdivision of the State,its contractors must comply with section 6002 of the Solid Waste Disposal Act,as amended by the Resource Conservation and Recovery Act.The requirements of Section 6002 include procuring only items designated in guidelines of the Environmental Protection Agency(EPA)at 40 CFR part 247,that contain the highest percentage of recovered materials practicable,consistent with maintaining a satisfactory level of competition,where the purchase price of the item exceeds$10,000 or the value of the quantity acquired during the preceding fiscal year exceeded$10,000;procuring solid waste management services in a manner that maximizes energy and resource recovery;and establishing an affirmative procurement program for procurement of recovered materials identified in the EPA guidelines. 9.4. Never contract with the enemy(2 CFR 200.215).Federal awarding agencies and recipients are subject to the regulations implementing"Never contract with the enemy"in 2 CFR part 183.The regulations in 2 CFR part 183 affect covered contracts,grants and cooperative agreements that are expected to exceed$50,000 during the period of performance,are performed outside the United States and its territories,and are in support of a contingency operation in which members of the Armed Forces are actively engaged in hostilities. 9.5. Prohibition on certain telecommunications and video surveillance equipment or services(2 CFR 200.216).Subrecipient is prohibited from obligating or expending loan or grant funds on certain telecommunications and video surveillance services or equipment pursuant to 2 CFR 200.216. 10.Access to Records. 10.1. A Subrecipient shall permit Recipient and its auditors to have access to Subrecipient's records and financial statements as necessary for Recipient to meet the requirements of 2 CFR 200.332(Requirements for pass-through entities),2 CFR 200.300(Statutory and national policy requirements)through 2 CFR 200.309(Modification to period of performance),2 CFR 200.337(Access to Records)and Subpart F-Audit Requirements of the Uniform Guidance. 10.2. A Subrecipient must collect,transmit,and store information related to this Subaward in open and machine-readable formats(2 CFR 200.336). Grant Agreement Number:2026*0312 Page 5 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 11.Single Audit Requirements. 11.1. If a Subrecipient expends$1,000,000 or more in Federal Awards during the Subrecipient's fiscal year,the Subrecipient shall procure or arrange for a single or program-specific audit conducted for that year in accordance with the provisions of Subpart F-Audit Requirements of the Uniform Guidance,issued pursuant to the Single Audit Act Amendments of 1996, (31 U.S.C.7501-7507).2 CFR 200.501. 11.1.1. Election.A Subrecipient shall have a single audit conducted in accordance with Uniform Guidance 2 CFR 200.514(Scope of audit),except when it elects to have a program-specific audit conducted in accordance with 2 CFR 200.507 (Program-specific audits). The Subrecipient may elect to have a program- specific audit if Subrecipient expends Federal Awards under only one Federal program(excluding research and development)and the Federal program's statutes,regulations,or the terms and conditions of the Federal award do not require a financial statement audit of Recipient.A program-specific audit may not be elected for research and development unless all of the Federal Awards expended were received from Recipient and Recipient approves in advance a program-specific audit. 11.1.2. Exemption. If a Subrecipient expends less than$1,000,000 in Federal Awards during its fiscal year,the Subrecipient shall be exempt from Federal audit requirements for that year,except as noted in 2 CFR 200.503(Relation to other audit requirements),but records shall be available for review or audit by appropriate officials of the Federal agency,the State,and the Government Accountability Office. 11.1.3. Subrecipient Compliance Responsibility. A Subrecipient shall procure or otherwise arrange for the audit required by Subpart F of the Uniform Guidance and ensure it is properly performed and submitted when due in accordance with the Uniform Guidance. Subrecipient shall prepare appropriate financial statements, including the schedule of expenditures of Federal awards in accordance with 2 CFR 200.510(Financial statements)and provide the auditor with access to personnel,accounts,books,records,supporting documentation, and other information as needed for the auditor to perform the audit required by Uniform Guidance Subpart F-Audit Requirements. 12.Required Provisions for Subrecipient with Subcontractors. 12.1. In addition to other provisions required by the Federal Awarding Agency or the Recipient, Subrecipients shall include all of the following applicable provisions; 12.1.1. For agreements with Subrecipients—Include the terms in the Grant Federal Provisions Exhibit(this exhibit) 12.1.2. For contracts with Subcontractors—Include the terms in the Contract Federal Provisions Exhibit. Grant Agreement Number:2026.0312 Page 6 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 13.Certifications. 13.1. Unless prohibited by Federal statutes or regulations,Recipient may require Subrecipient to submit certifications and representations required by Federal statutes or regulations on an annual basis.2 CFR 200.415. Submission may be required more frequently if Subrecipient fails to meet a requirement of the Federal award. Subrecipient shall certify in writing to the State at the end of the Award that the project or activity was completed or the level of effort was expended.If the required level of activity or effort was not carried out,the amount of the Award must be adjusted. 14.Exemptions. 14.1. These Federal Provisions do not apply to an individual who receives an Award as a natural person,unrelated to any business or non-profit organization he or she may own or operate in his or her name. 14.2. A Subrecipient with gross income from all sources of less than$300,000 in the previous tax year is exempt from the requirements to report Subawards and the Total Compensation of its most highly compensated Executives. 15.Event of Default and Termination. 15.1. Failure to comply with these Federal Provisions shall constitute an event of default under the Grant and the State of Colorado may terminate the Grant upon 30 days prior written notice if the default remains uncured five calendar days following the termination of the 30- day notice period.This remedy will be in addition to any other remedy available to the State of Colorado under the Grant,at law or in equity. 15.2. Termination(2 CFR 200.340).The Federal Award may be terminated in whole or in part as follows: 15.2.1.By the Federal Awarding Agency or Pass-through Entity,if a Non-Federal Entity fails to comply with the terms and conditions of a Federal Award; 15.2.2.By the Federal awarding agency or Pass-through Entity with the consent of the Non-Federal Entity, in which case the two parties must agree upon the termination conditions,including the effective date and,in the case of partial termination,the portion to be terminated; 15.2.3.By the Non-Federal Entity upon sending to the Federal Awarding Agency or Pass-through Entity written notification setting forth the reasons for such termination,the effective date,and,in the case of partial termination,the portion to be terminated.However,if the Federal Awarding Agency or Pass-through Entity determines in the case of partial termination that the reduced or modified portion of the Federal Award or Subaward will not accomplish the purposes for which the Federal Award was made,the Federal Awarding Agency or Pass- through Entity may terminate the Federal Award in its entirety;or 15.2.4.By the Federal Awarding Agency or Pass-through Entity pursuant to termination provisions included in the Federal Award. Grant Agreement Number:2026*0312 Page 7 of 8 OSC A.12.24/CDPHE A.12.24 Docusign Envelope ID:68E878D4-4852-44CC-97B2-78C437F08977 16.Additional Federal Requirements. 16.1. Whistle Blower Protections An employee of a subrecipient must not be discharged,demoted,or otherwise discriminated against as a reprisal for disclosing to a person or body described in paragraph(a)(2)of 41 U.S.C.4712 information that the employee reasonably believes is evidence of gross mismanagement of a Federal contract or grant,a gross waste of Federal funds,an abuse of authority relating to a Federal contract or grant,a substantial and specific danger to public health or safety,or a violation of law,rule,or regulation related to a Federal contract (including the competition for or negotiation of a contract)or grant.The subrecipient must inform their employees in writing of employee whistleblower rights and protections under 41 U.S.C.4712.See statutory requirements for whistleblower protections at 10 U.S.C. 4701,41 U.S.C.4712,41 U.S.C.4304,and 10 U.S.C.4310. Grant Agreement Number:2026*0312 Page 8 of 8 OSC A.12.24/CDPHE A.12.24 Contract Fo ,` Entity Information Entity Name* Entity ID* 0 New Entity? COLORADO DEPT OF PUBLIC @00001926 HEALTH/ENVIRONMENT Contract Name* Contract ID Parent Contract ID FAMILY PLANNING PROGRAM CONTRACT RENEWAL 9551 Contract Status Contract Lead* Requires Board Approval CTB REVIEW BFRITZ YES Contract Lead Email Department Project# bfritz@weld.gov;Health- Contracts@weld.gov Contract Description* FAMILY PLANNING PROGRAM CONTRACT RENEWAL Contract Description 2 Contract Type* Department Requested BOCC Agenda Due Date GRANT HEALTH Date* 06/05/2025 06/09/2025 Amount* Department Email $232,857.00 CM-Health@weld.gov Will a work session with BOCC be required?* NO Renewable* Department Head Email NO CM-Health- Does Contract require Purchasing Dept.to be DeptHead@weld.gov included? Automatic Renewal County Attorney Grant GENERAL COUNTY ATTORNEY EMAIL IGA County Attorney Email CM- COUNTYATTORNEY@WEL D.GOV If this is a renewal enter previous Contract ID If this is part of a MSA enter MSA Contract ID Note:the Previous Contract Number and Master Services Agreement Number should be left blank if those contracts are not in OnBase Contract Dates Effective Date Review Date* Renewal Date 05/01/2026 Termination Notice Period Committed Delivery Date Expiration Date* 06/30/2026 Contact Information Contact Info Contact Name Contact Type Contact Email Contact Phone 1 Contact Phone 2 Purchasing Purchasing Approver Purchasing Approved Date Approval Process Department Head Finance Approver Legal Counsel JASON CHESSHER CHERYL PATTELLI BYRON HOWELL DH Approved Date Finance Approved Date Legal Counsel Approved Date 06/09/2025 06/09/2025 06/09/2025 Final Approval BOCC Approved Tyler Ref# AG 061625 BOCC Signed Date Originator BFRITZ BOCC Agenda Date 06/16/2025 Hello